Asian Nursing Research最新文献

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The Role of Insight into Illness as a Mediator and Moderator Between Psychotic Symptoms and Self-care Ability in Chronic Schizophrenia 慢性精神分裂症患者精神病症状与自我照顾能力的调节作用:疾病洞察
IF 2.3 3区 医学
Asian Nursing Research Pub Date : 2026-02-01 Epub Date: 2025-11-03 DOI: 10.1016/j.anr.2025.10.004
Hsu-Chi Chao , Su-Chen Lo , Jason W. Beckstead , Chiu-Yueh Yang
{"title":"The Role of Insight into Illness as a Mediator and Moderator Between Psychotic Symptoms and Self-care Ability in Chronic Schizophrenia","authors":"Hsu-Chi Chao ,&nbsp;Su-Chen Lo ,&nbsp;Jason W. Beckstead ,&nbsp;Chiu-Yueh Yang","doi":"10.1016/j.anr.2025.10.004","DOIUrl":"10.1016/j.anr.2025.10.004","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of this study was to explore how insight into illness mediates and moderates the relationship between psychotic symptoms and self-care ability in patients with chronic schizophrenia.</div></div><div><h3>Methods</h3><div>A cross-sectional convenience sampling method was used, and 203 participants were recruited from seven rehabilitation units in northern Taiwan between April and December 2020. Psychotic symptoms were measured using the Positive and Negative Syndrome Scale, insight into illness was assessed with the Schedule for Assessment of Insight in Psychosis, and self-care ability was evaluated using the Self-Care Ability Assessment Scale. Mediation and moderation analyses were conducted using models 4 and 1 of the PROCESS Macro in SPSS, controlling for demographic variables.</div></div><div><h3>Results</h3><div>Insight into illness emerged as both a mediator and a moderator in the relationship between psychotic symptoms and self-care ability. Specifically, insight into illness mediated the relationship by partially alleviating the adverse effects of psychotic symptoms on self-care ability. Furthermore, insight into illness acted as a moderator, with greater insight significantly reducing the impact of psychotic symptoms on an individual’s capacity for self-care.</div></div><div><h3>Conclusion</h3><div>Improving insight into illness is vital to help patients with chronic schizophrenia manage psychotic symptoms and improve self-care. Mental health nurses should prioritize interventions aimed at improving insight, which may significantly improve self-care and overall quality of life.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 1","pages":"Pages 76-83"},"PeriodicalIF":2.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145454099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development and Effect of an IMB Skills Model–based Online Reproductive Health Promotion Program for Late Adolescent Women 基于IMB技能模型的晚熟女性在线生殖健康促进项目的开发与效果
IF 2.3 3区 医学
Asian Nursing Research Pub Date : 2026-02-01 Epub Date: 2025-12-15 DOI: 10.1016/j.anr.2025.09.007
Minji Je , Jaeyoung Lee , SoYeon Park
{"title":"Development and Effect of an IMB Skills Model–based Online Reproductive Health Promotion Program for Late Adolescent Women","authors":"Minji Je ,&nbsp;Jaeyoung Lee ,&nbsp;SoYeon Park","doi":"10.1016/j.anr.2025.09.007","DOIUrl":"10.1016/j.anr.2025.09.007","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to develop and test the effect of the information-motivation-behavioral skills (IMB) model–based online reproductive health (RH) promotion program for late adolescent women.</div></div><div><h3>Methods</h3><div>This study used a nonequivalent control group pretest–post-test design. The study sample included 39 late adolescent women (experimental group: 19 and control group: 20). The program consisted of four sessions based on the IMB model (70 min, once per week) for four weeks. This study intervention was provided as an online intervention. Data were a pretest before the program, a posttest upon program completion, and a follow-up test one month after the program ended. Data were collected from November 1, 2021, to May 30, 2022. Data analysis was conducted using the <em>t</em> test, Chi-square test, and Fisher’s exact test with statistical software.</div></div><div><h3>Results</h3><div>The program significantly increased late adolescent women's RH promotion behaviors (posttest <em>p</em> &lt; .001 and follow-up test <em>p</em> = .002), RH knowledge (posttest <em>p</em> = .006 and follow-up test <em>p</em> &lt; .001), and sexual autonomy (posttest <em>p</em> = .044 and follow-up test <em>p</em> = .036). No significant differences in changes in attitudes toward RH promotion behaviors were reported between the groups (posttest <em>p</em> = .060 and follow-up test <em>p</em> = .195).</div></div><div><h3>Conclusion</h3><div>This study conducted an online intervention to increase access to RH promotion education. The program developed based on the IMB model effectively improves RH promotion behavior and knowledge of late adolescent women. The intervention program implemented in this study should be used widely in the RH education curriculum for late adolescent women.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 1","pages":"Pages 107-115"},"PeriodicalIF":2.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implementation of a Practice-based Reflection Training Programme in Undergraduate Nursing Interns for Reflective Practice Competency and Humanistic Caring Ability: A Quasi-experimental Study 基于实践的本科护理实习生反思性实践能力与人文关怀能力训练:准实验研究。
IF 2.3 3区 医学
Asian Nursing Research Pub Date : 2026-02-01 Epub Date: 2025-11-10 DOI: 10.1016/j.anr.2025.09.005
Dong-Lan Ling , Ka Yan Ho , Jing-Da Pan , Chang Zhang , Wen-Ting Xu , Ke-Lan Lin , Ting Mao , Jin Li , Hao Chen , Shu-Fang Zhang , Hong-Li Liu , Liu-Yuan Zeng , Hong-Jing Yu
{"title":"Implementation of a Practice-based Reflection Training Programme in Undergraduate Nursing Interns for Reflective Practice Competency and Humanistic Caring Ability: A Quasi-experimental Study","authors":"Dong-Lan Ling ,&nbsp;Ka Yan Ho ,&nbsp;Jing-Da Pan ,&nbsp;Chang Zhang ,&nbsp;Wen-Ting Xu ,&nbsp;Ke-Lan Lin ,&nbsp;Ting Mao ,&nbsp;Jin Li ,&nbsp;Hao Chen ,&nbsp;Shu-Fang Zhang ,&nbsp;Hong-Li Liu ,&nbsp;Liu-Yuan Zeng ,&nbsp;Hong-Jing Yu","doi":"10.1016/j.anr.2025.09.005","DOIUrl":"10.1016/j.anr.2025.09.005","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine the effectiveness of a practice-based reflection training programme in enhancing reflective practice competency and humanistic caring ability among undergraduate nursing interns.</div></div><div><h3>Methods</h3><div>A convenience sample of 95 undergraduate nursing interns from a tertiary hospital was recruited to join a quasi-experimental study. Participants in the control group (<em>n</em> = 48) underwent a traditional training programme between September 2021 and April 2022. Those in the intervention group (<em>n</em> = 47) participated in a practice-based reflection training programme that contained 8 sessions between September 2022 and April 2023. The two groups were compared in terms of their levels of reflective practice competency measured by the Nursing Reflective Practice Questionnaire (NRPQ) and humanistic caring ability measured by the Nursing Humanistic Caring Assessment Tool (NHCAT). Additionally, each intern in the intervention group submitted a reflective essay on humanistic caring which was analyzed by content analysis.</div></div><div><h3>Results</h3><div>After the intervention, the intervention group showed statistically significantly higher mean scores compared to the control group for reflective practice competency (160.94 ± 11.02 vs 147.60 ± 13.95, <em>p</em> &lt; .001) and humanistic caring ability (124.02 ± 7.35 vs 115.52 ± 8.31, <em>p</em> &lt; .001). By content analysis of 45 reflective essays, the most commonly reported theme related to humanistic care was “responsibility” (present in 38 essays, mentioned 153 times), followed by “empathy” (present in 36 essays, mentioned 149 times) and “communication skills/competence” (present in 32 essays, mentioned 125 times).</div></div><div><h3>Conclusions</h3><div>The practice-based reflection training programme was shown to be effective to enhance reflective practice competency and humanistic caring ability among undergraduate nursing interns in China. Further studies are needed to examine its long-term impacts on nursing interns.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 1","pages":"Pages 48-55"},"PeriodicalIF":2.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
School-Based Intervention of Smoking Media Literacy Among South Korean Adolescents: A Cluster Randomized Trial 韩国青少年吸烟媒体素养的学校干预:一项聚类随机试验。
IF 2.3 3区 医学
Asian Nursing Research Pub Date : 2026-02-01 Epub Date: 2025-05-20 DOI: 10.1016/j.anr.2025.03.001
Sunhee Park , Haein Lee
{"title":"School-Based Intervention of Smoking Media Literacy Among South Korean Adolescents: A Cluster Randomized Trial","authors":"Sunhee Park ,&nbsp;Haein Lee","doi":"10.1016/j.anr.2025.03.001","DOIUrl":"10.1016/j.anr.2025.03.001","url":null,"abstract":"<div><h3>Purpose</h3><div>Western literature has well established that (a) exposure to pro-smoking media messages is positively associated with adolescent smoking, and (b) an increase in smoking media literacy (SML) can mitigate the harmful effects of pro-smoking advertisements on adolescent smoking behavior. However, little is currently known about this phenomenon in South Korea. Thus, we aimed to investigate the effects of a SML intervention on SML, smoking attitudes, and smoking norms among Korean adolescents.</div></div><div><h3>Methods</h3><div>Based on the media literacy framework, we developed a five-lesson SML education program. We conducted a cluster randomized trial in one male high school to investigate the effects of the intervention. We randomly allocated ten classes in a one-to-one ratio to either the intervention or control group (<em>N</em> = 250, 10th graders). The intervention group participated in the SML program; the control group participated in a traditional anti-smoking program. We assessed the three outcomes (i.e., SML, smoking attitudes, and norms) at 1-week and 3-month follow-ups. We analyzed data obtained from 249 students after excluding one participant who did not complete the baseline test. Specifically, we conducted a mixed-model regression analysis three times after accounting for intraclass correlations.</div></div><div><h3>Results</h3><div>SML, smoking attitudes, and norms assessed in a pre-test before the intervention did not significantly differ between the intervention and control groups. After the intervention, we found a significant increase in SML at both 1-week (coefficient = .91) and 3-month follow-ups (coefficient = .73), although we did not find important intervention effects on smoking attitudes and norms at both follow-ups.</div></div><div><h3>Conclusions</h3><div>We found a strong effect of the SML education on an increase in SML, which could mitigate the negative effects of pro-smoking advertisements. Thus, health professionals need to actively incorporate strategies that enhance SML, developed based on the multidimensional core concepts of media literacy, into traditional anti-smoking programs.</div></div><div><h3>Trial registration</h3><div>Clinical Research Information Service, KCT0009514.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 1","pages":"Pages 2-10"},"PeriodicalIF":2.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychometric Properties of the Korean Version of the Advance Care Planning Engagement Survey 韩国版提前护理计划参与调查的心理测量特性。
IF 2.3 3区 医学
Asian Nursing Research Pub Date : 2026-02-01 Epub Date: 2025-11-01 DOI: 10.1016/j.anr.2025.09.003
Heejung Jeon , Sanghee Kim
{"title":"Psychometric Properties of the Korean Version of the Advance Care Planning Engagement Survey","authors":"Heejung Jeon ,&nbsp;Sanghee Kim","doi":"10.1016/j.anr.2025.09.003","DOIUrl":"10.1016/j.anr.2025.09.003","url":null,"abstract":"<div><h3>Purpose</h3><div>To develop a Korean version of the Advance Care Planning Engagement Survey and evaluate its psychometric properties among adults with chronic diseases, following the World Health Organization's instrument translation guidelines.</div></div><div><h3>Methods</h3><div>This study used a methodological design and was validated translated instrument. Content validity was assessed through expert evaluations by five experts and cognitive interviews with five participants diagnosed with chronic diseases, and internal consistency reliability, construct validity, and criterion validity were assessed through an online survey. A total of 340 adults with chronic diseases were recruited through a panel research service, with 170 assigned to each group for exploratory factor analysis (EFA) and confirmatory factor analysis (CFA).</div></div><div><h3>Results</h3><div>The Korean version of the Advance Care Planning Engagement Survey comprises 34 items and demonstrated good internal consistency (.78–.96). The EFA identified four behavioral factors—Knowledge, Contemplation, Self-efficacy, and Readiness—accounting for 64.4% of the cumulative variance. The CFA results indicated a good model fit.</div></div><div><h3>Conclusion</h3><div>The Korean version of the Advance Care Planning Engagement Survey demonstrated validity and reliability in assessing advance care planning engagement within the Korean context. By reflecting cultural nuances, this instrument supports cross-cultural comparisons and contributes to evidence-based end-of-life care policies. It also aligns with global healthcare needs, facilitating culturally informed research and enhancing patient-centered care. Additionally, it aids in the development of advance care planning programs that consider cultural contexts, supporting more effective end-of-life care in diverse settings.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 1","pages":"Pages 39-47"},"PeriodicalIF":2.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145440121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating the Development of a Machine Learning Model for Predicting Length of Stay for Inpatients in a Tertiary General Hospital 评估用于预测三级综合医院住院患者住院时间的机器学习模型的发展。
IF 2.3 3区 医学
Asian Nursing Research Pub Date : 2026-02-01 Epub Date: 2025-11-12 DOI: 10.1016/j.anr.2025.10.006
Mi Jin Lee , Ji Young Lim
{"title":"Evaluating the Development of a Machine Learning Model for Predicting Length of Stay for Inpatients in a Tertiary General Hospital","authors":"Mi Jin Lee ,&nbsp;Ji Young Lim","doi":"10.1016/j.anr.2025.10.006","DOIUrl":"10.1016/j.anr.2025.10.006","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to develop a machine learning (ML)-based predictive model for hospital length of stay incorporating clinical, nursing, and healthcare system factors to optimize hospital resource allocation, improve patient-centered care, and enhance nursing workflow efficiency.</div></div><div><h3>Methods</h3><div>This retrospective study analyzed a large dataset of inpatient electronic medical records from a private tertiary hospital. The dataset was used to develop predictive models for long-term versus short-term hospitalization. The modeling process involved several ML algorithms, and their performance was evaluated using standard statistical metrics. The most significant predictive variables were identified through an analysis of their feature importance.</div></div><div><h3>Results</h3><div>Among the tested models, the Random Forest algorithm exhibited the highest predictive accuracy, demonstrating strong performance in predicting hospital length of stay. Key influencing factors included the number of consultations, postoperative recovery time, duration of stay in the intensive care unit, the use of third-generation antibiotics, and the need for infection isolation. Patients requiring ventilator care, intensive care unit admission, and specific powerful antibiotics were more likely to experience prolonged hospitalization. Additionally, nursing-related factors such as fall risk and pressure ulcer risk were significantly correlated with an extended hospital stay.</div></div><div><h3>Conclusion</h3><div>This study demonstrates that ML models can effectively predict hospital length of stay, aiding in hospital resource management, nursing workforce allocation, and patient safety interventions. The integration of predictive analytics into healthcare systems can support early risk assessment, personalized discharge planning, and overall hospital efficiency.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 1","pages":"Pages 84-94"},"PeriodicalIF":2.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Path Analysis of Career Decision-making Among Nursing Students: A Descriptive Cross-sectional Study 护生职业决策路径分析:一项描述性横断面研究。
IF 2.3 3区 医学
Asian Nursing Research Pub Date : 2026-02-01 Epub Date: 2025-11-01 DOI: 10.1016/j.anr.2025.09.002
Seohyun Kwon , Taewha Lee
{"title":"Path Analysis of Career Decision-making Among Nursing Students: A Descriptive Cross-sectional Study","authors":"Seohyun Kwon ,&nbsp;Taewha Lee","doi":"10.1016/j.anr.2025.09.002","DOIUrl":"10.1016/j.anr.2025.09.002","url":null,"abstract":"<div><h3>Purpose</h3><div>A career refers to all the work-related activities and experiences that occur throughout an individual's life. As healthcare technology advances, jobs become more diverse, making nursing students' careers increasingly important. However, little is known about the career decision-making process of nursing students. To address this, we investigated how nursing students decide about their careers. This study aimed to conduct a path analysis of career decisions among nursing students based on the social cognitive model of career self-management.</div></div><div><h3>Methods</h3><div>This was a descriptive cross-sectional study. It recruited junior and senior nursing students from 18 universities in a metropolitan area of South Korea. In total, 439 nursing students participated in the study. Data were collected using a structured questionnaire between May 15 and June 5, 2023. The data were analyzed using descriptive statistics and path analysis.</div></div><div><h3>Results</h3><div>The hypothesized model showed acceptable model fit indices. The path analysis showed that career decision-making self-efficacy (β = 0.52, <em>p</em> &lt; .001), career outcome expectation (β = 0.11, <em>p</em> = .041), and nursing competence (β = 0.11, <em>p</em> = .046) directly impacted career decisions. Furthermore, nursing competence (β = 0.29, <em>p</em> &lt; .001), satisfaction with the nursing major (β = 0.13, <em>p</em> &lt; .001), and the learning environment (β = 0.12, <em>p</em> &lt; .001) indirectly influenced career decisions through the mediation of career decision-making self-efficacy and career outcome expectation.</div></div><div><h3>Conclusion</h3><div>Career decision-making self-efficacy and nursing competence are crucial factors in nursing students' career decisions. The proposed model provides a foundation for developing strategies to enhance nursing students’ career decision-making. Nursing educators and institutions can use this model to design and implement a tailored career education curriculum that empowers nursing students to manage and advance their careers effectively.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 1","pages":"Pages 30-38"},"PeriodicalIF":2.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145440109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors Influencing Home Care Nurses’ Behavioral Intention to Use Digital Healthcare 影响家庭护理护士使用数字医疗行为意向的因素。
IF 2.3 3区 医学
Asian Nursing Research Pub Date : 2026-02-01 Epub Date: 2025-11-03 DOI: 10.1016/j.anr.2025.10.003
So-Hi Kwon , Young-Joo Kim , Seo-Hye Park
{"title":"Factors Influencing Home Care Nurses’ Behavioral Intention to Use Digital Healthcare","authors":"So-Hi Kwon ,&nbsp;Young-Joo Kim ,&nbsp;Seo-Hye Park","doi":"10.1016/j.anr.2025.10.003","DOIUrl":"10.1016/j.anr.2025.10.003","url":null,"abstract":"<div><h3>Purpose</h3><div>Home care and digital healthcare are essential strategies for addressing health challenges in an aging society. This study aims to understand the behavioral intention (BI) to use digital healthcare and its influencing factors based on the Unified Theory of Acceptance and Use of Technology.</div></div><div><h3>Methods</h3><div>This cross-sectional study surveyed 180 home care nurses in South Korea using online questionnaires. Participants were from hospital-based home care (HHC), home hospice (HH), and community health center-based home care (CHC). The survey assessed their experience with and intention to use 19 digital health technologies and measured key factors based on the Unified Theory of Acceptance and Use of Technology: performance expectancy, effort expectancy, social influence (SI), attitude toward digital healthcare, and concerns.</div></div><div><h3>Results</h3><div>Among the 19 digital health technologies, big data/artificial intelligence solutions (87.2%) and artificial intelligence-assisted care sensors (85.6%) had the highest BI to use. Usage experience and intention were negatively correlated across all technologies (κ = −0.10 to −0.70, <em>p</em> &lt; .001). Behavioral intentions differed significantly between groups (χ<sup>2</sup> = 6.35, <em>p</em> = .042), with HH nurses reporting the highest intention (93.8%), followed by HHC (87.0%) and community health center-based home care (75.0%) nurses. Effort expectancy increased adoption likelihood (odds ratio = 2.26, 95% confidence interval: 1.10–4.62, <em>p</em> = .026), while SI was the strongest predictor (odds ratio = 2.93, 95% confidence interval: 1.15–7.46, <em>p</em> = .024).</div></div><div><h3>Conclusions</h3><div>Home care nurses generally showed strong BI to adopt digital healthcare. However, the negative association between experience and intention suggests the need to enhance user satisfaction when implementing digital health technologies. Since effort expectancy and SI significantly affect adoption, reducing perceived effort and strengthening social support are essential for successful integration.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 1","pages":"Pages 65-75"},"PeriodicalIF":2.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145454063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychometric Evaluation of the Social Anxiety Scale for Adolescents in a School-Based Sample of Korean Youths: A Rasch Analysis. 以学校为样本的韩国青少年社交焦虑量表的心理测量评估:一项Rasch分析。
IF 2.3 3区 医学
Asian Nursing Research Pub Date : 2025-12-15 DOI: 10.1016/j.anr.2025.11.006
Wonjin Seo
{"title":"Psychometric Evaluation of the Social Anxiety Scale for Adolescents in a School-Based Sample of Korean Youths: A Rasch Analysis.","authors":"Wonjin Seo","doi":"10.1016/j.anr.2025.11.006","DOIUrl":"https://doi.org/10.1016/j.anr.2025.11.006","url":null,"abstract":"<p><strong>Purpose: </strong>This study evaluated the Korean Social Anxiety Scale for Adolescents (K-SAS-A) using Rasch analysis, examined gender-related differential item functioning (DIF), and assessed measurement precision in a school-based sample.</p><p><strong>Methods: </strong>Self-report data from 481 Korean adolescents (ages 14-16; 49.9% girls) were analyzed with the Andrich Rating Scale Model. We evaluated category functioning, item fit, dimensionality (PCA of residuals), local independence (residual correlations), reliability/separation, and gender DIF (ETS classification).</p><p><strong>Results: </strong>The original five-category scale showed insufficient separation between categories 2 and 3; collapsing to a four-category format improved category functioning and overall fit. Seven items (#2, #5, #9, #10, #11, #13, #15) were removed based on misfit and content considerations. The refined instrument satisfied unidimensionality (first contrast eigenvalue = 1.8) and local independence (residual |r| ≤ .28). Person separation = 2.22 (reliability = .83; ≈3.3 strata); item separation = 8.11 (reliability = .99). In the full item set, two items (#1, #18) showed slight-to-moderate gender DIF; no meaningful DIF remained in the proposed nine-item short form, which consists of items #3, #4, #6, #7, #8, #12, #14, #16, and #17.</p><p><strong>Conclusions: </strong>A four-category response format and a nine-item short form yield a unidimensional, reliable measure of adolescent social anxiety with reduced respondent burden. Minor redundancy between two items (#6, #12) warrants consideration in future refinements.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nursing’s Distinctive Power in the Age of Artificial Intelligence: A Vision for Research and the Future of Asian Nursing Research 人工智能时代护理的独特力量:亚洲护理研究的展望与未来
IF 2.3 3区 医学
Asian Nursing Research Pub Date : 2025-12-01 Epub Date: 2025-11-27 DOI: 10.1016/j.anr.2025.11.002
Eunyoung E. Suh
{"title":"Nursing’s Distinctive Power in the Age of Artificial Intelligence: A Vision for Research and the Future of Asian Nursing Research","authors":"Eunyoung E. Suh","doi":"10.1016/j.anr.2025.11.002","DOIUrl":"10.1016/j.anr.2025.11.002","url":null,"abstract":"","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 5","pages":"Page 417"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145799788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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